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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 13 Aug 2007 15:09:38 -0400
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There are many possible approaches.

The starting point is to figure out what problem the baby is having at 
breast. Then one knows how to help solve it.

Look at the baby carefully - anatomy, tone, behavior. Look at how mom is 
positioning baby at breast. First try optimizing positioning and see if 
the baby can make it work.

If it's just that the baby is used to a preformed nipple, a nipple 
shield may be helpful, but it needs to be sized correctly to both mom's 
nipple and baby's mought; and applied to pull in as much of the mom's 
nipple/areola as possible.

Skin to skin while the baby is calm (perhaps after giving 1/2 to 3/4 of 
the usual bottle feed) may cause the baby to search out the breast and 
latch on. Letting the baby wake up near the bare breast or on mom's 
shoulder may help too.

And changing the way the bottle is used can help prepare the baby for 
taking the breast. Holding the nipple across both lips so the baby needs 
to open really wide, holding the bottle horizontally and the baby 
sitting or semi-sitting can help the baby control the flow, and using a 
wide based nipple (one that the baby can actually get his mouth to the 
base of, most babies can't do this on an Avent nipple) may help to model 
the open mouth position of breastfeeding.

Catherine Watson Genna, IBCLC  NYC

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